Healthcare Provider Details

I. General information

NPI: 1871790824
Provider Name (Legal Business Name): CHELSEA WALKER TAGAWA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHELSEA WALKER MD

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-2202
  • Fax: 808-433-1153
Mailing address:
  • Phone: 808-433-2202
  • Fax: 808-433-1153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5042
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: